FORM 1023-EZ for PATRICK COUNTY PATRIOTS INC

Field Data
EIN 85-1190563
Case Number EO-2021076-000796
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRICK COUNTY PATRIOTS INC
Organization’s Mailing Address 125 SLUSHER STREET
City STUART
State VA
ZIP 24171
Accounting period End 12
Primary contact name WREN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WREN WILLIAMS
BOARD OF DIRECTORS MEMBER
125 SLUSHER STREET
STUART VA 24171

Officer/Director/Trustee Two

JASON TURNER
BOARD OF DIRECTORS MEMBER
689 RHODY CREEK LOOP
STUART VA 24171

Officer/Director/Trustee Three

SAMMY HUGHES
BOARD OF DIRECTORS MEMBER
11317 JEB STUART HIGHWAY
STUART VA 24171

Officer/Director/Trustee Four

KURT BOZENMAYER
BOARD OF DIRECTORS
181 NRED OAK LANE
STUART VA 24171

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON TURNER
Signature Title BOARD OF DIRECTORS MEMBER
Signature Date 1/19/2021

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